背景:满意度被定义为通过提供医疗保健服务对患者或客户需求和愿望的感知满足。在发达国家,超过60%的妇女接受了宫颈癌筛查。然而,在撒哈拉以南非洲地区,只有12%的女性接受过宫颈癌前病变筛查.关于客户对埃塞俄比亚宫颈癌筛查服务(CSCCSS)的满意度的证据有限,特别是,在阿姆哈拉地区没有通过混合方法进行的研究。
目的:该研究旨在评估在埃塞俄比亚西北部DebreMarkos镇公共卫生机构筛查的妇女中,客户对宫颈癌筛查服务的满意度及其影响因素。2022/23。
方法:从10月10日开始,在DebreMarkos镇的公共卫生设施中进行了融合并行混合方法设计,2022年1月10日2023年。对于定量机翼,使用系统随机抽样技术,共选择了401名宫颈癌筛查服务用户.使用面试官管理的结构化问卷收集数据。客户在远离筛选单位的私人区域接受采访,数据被输入到Epi-data版本4.6.0.2,然后导出到STATA版本14进行分析。拟合二元逻辑回归模型以确定与客户对宫颈癌筛查服务满意度相关的因素。定性数据是使用半结构化主题指南通过深入和关键的线人访谈收集的。使用开放代码软件(版本4.0.2.3)的主题分析方法分析数据。
结果:定量调查显示,总体而言,65%(95%CI:60-69)的受访者对他们所接受的宫颈癌筛查服务感到满意。提供者的性别(AOR:6.11,95%CI:3.23-11.55,p值=0.000),等待时间(AOR:4.77,95%CI:1.32-17.31,p值=0.017),客户知识(AOR:0.26,95%CI:0.12-0.59,p值=0.001),客户态度(AOR:6.43,95%CI:3.43-12.03,p值=0.000)与CSCCSS显著相关。
■主题分析揭示了三个主题。主题1:与设施相关的障碍(熟练人力短缺,基础设施短缺,提供者\'技能差距,无法提供全面服务,领导力问题,漫长的等待时间)。主题2:与客户相关的障碍(知识和态度差,性别偏好)。主题3:与设施有关的主持人(免费服务,支持合作伙伴的存在)。
结论:根据本研究的结果,三分之二的客户对宫颈癌筛查服务感到满意,低于80%的国家目标。漫长的等待时间,服务提供商的男性性别,不利的态度,和客户的良好知识被认为是影响客户对宫颈癌筛查满意度的重要因素。
BACKGROUND: Satisfaction is defined as the perceived fulfillment of patient or client needs and desires through the delivery of healthcare services. In developed countries, more than 60% of women have been screened for cervical cancer. However, only 12% of women in sub-Saharan Africa have been screened for precancerous cervical lesions. There is limited evidence on client satisfaction with cervical cancer screening services (CSCCSS) in Ethiopia, particularly, there is no study conducted by mixed method in the Amhara region.
OBJECTIVE: The study aimed to assess clients\' satisfaction with cervical cancer screening services and influencing factors among women screened in Debre Markos town public health facilities in Northwest Ethiopia, 2022/23.
METHODS: A convergent parallel mixed methods design was conducted in Debre Markos town\'s public health facilities from October 10th, 2022 to January 10th, 2023. For the quantitative wing, a total of 401 cervical cancer screening service users were selected using a systematic random sampling technique. Data were collected using an interviewer-administered structured questionnaire. Clients were interviewed on exit in a private area far from the screening unit and the data were entered into Epi-data version 4.6.0.2, then exported to STATA version 14 for analysis. A binary logistic regression model was fitted to identify factors associated with client satisfaction with cervical cancer screening services. The qualitative data were collected through in-depth and key informant interviews using a semi-structured topic guide. The data were analyzed using a thematic analysis approach with Open code software (version 4.0.2.3).
RESULTS: The quantitative wing revealed that overall, 65% (95% CI: 60-69) of respondents were satisfied with the cervical cancer screening services they received. Gender of the provider (AOR: 6.11, 95% CI: 3.23-11.55, p-value = 0.000), waiting time (AOR: 4.77, 95% CI: 1.32-17.31, p-value = 0.017), clients\' knowledge (AOR: 0.26, 95% CI: 0.12-0.59, p-value = 0.001), and clients\' attitude (AOR: 6.43, 95% CI: 3.43-12.03, p-value = 0.000) were significantly associated with CSCCSS.
UNASSIGNED: The thematic analysis revealed three themes. Theme 1: facility-related barriers (shortage of skilled manpower, shortage of infrastructure, providers\' skill gap, unavailability of full service, leadership problem, long waiting time). Theme 2: client-related barriers (poor knowledge and attitude, gender preference). Theme 3: facility-related facilitators (free service, presence of supportive partners).
CONCLUSIONS: According to the findings of this study, two-thirds of clients were satisfied with cervical cancer screening services, which was lower than the national target of 80%. Long waiting time, male gender of the service provider, unfavorable attitude, and good knowledge of clients were identified as significant factors negatively affecting client satisfaction with cervical cancer screening.